Evidence map›Paper›PMID 42864550›Full record

ArticleAesthetic plastic surgery2026

A CAD-Based Workflow for Structured Mid-Sagittal Plane Definition in Contralateral Mandibular Mirroring: A Technical Note.

Sombir Singh, Shagun Sharma, Amanurrahman Zubair Ahemad, Vidya Rattan, Sabah Zaheer

Abstract read
PubMed Publisher
In one paragraph

Article in Aesthetic plastic surgery, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Sombir SinghNewway Orthodontic, Centre for Craniofacial Pain and Orthodontia, Chandigarh, India.
Shagun SharmaBachelor of Design in Production and Industrial Engineering Department, Punjab Engineering College, Chandigarh, 160012, India. shagunsharma@pec.edu.in.ORCID http://orcid.org/0000-0003-4433-235X
Amanurrahman Zubair AhemadDepartment of Dentistry, All India Institute of Medical Sciences, Bathinda, India.
Vidya RattanUnit of Oral and Maxillofacial Surgery, Oral Health and Sciences Centre (OHSC), Post Graduate Institute of Medical Education and Research (PGIMER), Chandigarh, 160012, India.
Sabah ZaheerGovernment Autonomous College of Dentistry, Indore, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo describe a structured CAD-based workflow for defining the mandibular mid-sagittal plane during contralateral mirroring for unilateral mandibular defects and to demonstrate its clinical applicability in reconstructive planning.

methodsDICOM data were segmented to generate a mandibular STL model. In CAD software, a mid-sagittal splitting plane was constructed using convergent geometric references, including a best-fit plane, principal inertia axis, and centre-of-gravity point, combined with pogonion as the anterior midline reference. The unaffected hemimandible was mirrored across this plane, exported as an STL file, and used for biomodel fabrication, guide planning, and reconstruction plate pre-contouring. A representative ameloblastoma case was used to illustrate the workflow.

resultsThe workflow produced a mirrored mandibular template suitable for digital-to-physical transfer. In the representative case, the template supported preoperative reconstruction plate adaptation and intraoperative contour planning. At 12-month follow-up, facial contour and occlusion were clinically acceptable on qualitative assessment.

conclusionsA convergent reference CAD workflow offers a practical method for standardising mid-sagittal plane definition in mandibular contralateral mirroring. The workflow may reduce reliance on subjective landmark selection in unilateral pathology; however, quantitative validation against established midplane methods is required. CLINICAL SIGNIFICANCE: This technique provides a stepwise digital planning workflow for unilateral mandibular reconstruction, helping surgeons define the mid-sagittal plane, create mirrored templates, fabricate biomodels, and pre-contour reconstruction plates when tumour-related distortion limits reliable anatomical reference points. LEVEL OF EVIDENCE V: This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .

Indexed as

3D printingCAD/CAMContralateral mirroringMandibular reconstructionMid-sagittal planeVirtual surgical planning

Identifiers

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.